NPIMap

Organization Active NPI

The Apothecary Shoppe

  • Pharmacist
  • Nucla, CO
National Provider Identifier
1386788073
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
93-0000002 Issued in CO
Legal business name
THE APOTHECARY SHOPPE
Practice address
480 Main
Box 429
Nucla, CO 81424-0429
Phone
(970) 864-2100
Fax
(970) 864-7926
NPI assigned
Feb 16, 2007
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Don Allan ColcordNPI 1861543621
Title
Owner
Phone
(970) 864-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 93-0000002 CO Primary

Addresses

Primary practice location

480 Main
Box 429
Nucla, CO 81424-0429

Mailing address

PO Box 429
Nucla, CO 81424-0429
Phone (970) 864-2100

Other identifiers 2

IdentifierTypeStateIssuer
0609404OtherCONABP
03856101MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1386788073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "NUCLA",
            "state": "CO",
            "postal_code": "814240429",
            "telephone_number": "970-864-2100",
            "fax_number": "970-864-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAIN",
            "address_2": "BOX 429",
            "city": "NUCLA",
            "state": "CO",
            "postal_code": "814240429",
            "telephone_number": "970-864-2100",
            "fax_number": "970-864-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "COLCORD",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-864-2100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "93-0000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0609404",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03856101",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nucla, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.